中国角膜屈光手术围手术期干眼诊疗专家共识(2021年)  

Expert consensus on the diagnosis and treatment of dry eye during perioperative period of corneal refractive surgery in China(2021)

作　　者：中华医学会眼科学分会眼视光学组 中国医师协会眼科医师分会眼视光学组 中国医师协会眼科医师分会屈光手术学组 吕帆 瞿佳 王雁[3] 张丰菊 杨智宽[5] 杨晓[6] 曾骏文[6] 胡亮 周行涛 陈跃国[9] 王铮[5] Chinese Optometric Association of Chinese Ophthalmological Society;Optometry Group of Chinese Ophthalmologist Association;Refractive Surgery Group of Chinese Ophthalmologist Association;Lyu Fan;Qu Jia;Wang Yan(不详;Eye Hospital of Wenzhou Medical University,National Clinical Research Center for Ocular Diseases,Wenzhou 325027,China;Tianjin Eye Hospital,Nankai University Affiliated Eye Hospital,Clinical College of Ophthalmology of Tianjin Medical University,Tianjin Eye Institute,Tianjin Key Laboratory of Ophthalmology and Visual Science,Tianjin 300020,China)

机构地区：[1]不详 [2]温州医科大学附属眼视光医院,国家眼部疾病临床医学研究中心,325027 [3]天津市眼科医院,南开大学附属眼科医院,天津医科大学眼科临床学院,天津市眼科研究所,天津市眼科学与视觉科学重点实验室,300020 [4]首都医科大学附属北京同仁医院北京同仁眼科中心 [5]爱尔眼科医院集团 [6]中山大学中山眼科中心 [7]温州医科大学附属眼视光医院 [8]复旦大学附属眼耳鼻喉科医院眼科 [9]北京大学第三医院眼科

出　　处：《中华眼科杂志》2021年第9期644-650,共7页Chinese Journal of Ophthalmology

基　　金：国家重点研发计划(2020YFC2008200)。

摘　　要：我国角膜屈光手术的数量逐年递增,手术质量也在不断提升,呈现出多元化、规范化的趋势。干眼仍然是各种角膜屈光手术前后较为常见及需要解决的问题之一。在角膜屈光手术的围手术期对干眼进行规范化诊断和治疗,对于提高患者术后视觉质量和满意度具有重要意义,也是眼科医疗质量控制和规范化管理的重要内容。为此中华医学会眼科学分会眼视光学组与中国医师协会眼科医师分会眼视光学组、屈光手术学组携手,针对角膜屈光手术前后干眼的发病机制、术前评估和处理、术后护理和治疗等,结合国内外研究结果和我国临床实际情况,经过充分、认真讨论形成专家共识意见,以供眼科医师在临床工作中参考。(中华眼科杂志,2021,57:644-650)The number of corneal refractive surgery in China is increasing year by year,and the quality of surgery is also improved with the trend of diversification and standardization.Dry eye is still one of the common problems associated with corneal refractive surgery.The standardized diagnosis and treatment of dry eye during the perioperative period of corneal refractive surgery is of great significance to improve the postoperative visual quality and satisfaction of patients,and it is also an important part of medical quality control and standardized management in ophthalmology.Therefore,Chinese Optometric Association of Chinese Ophthalmological Society,and the Refractive Surgery Group and the Optometry Group of Chinese Ophthalmologist Association have worked together to address the pathogenesis of dry eye,its evaluation and management before corneal refractive surgery and postoperative nursing care and treatment.The domestic and foreign research findings and the actual clinical situation in China have been considered fully to form this experts′consensus,which could be used as a reference for medical personnel in clinical practice.(Chin J Ophthalmol,2021,57:644-650)

关 键 词：屈光外科手术 干眼综合征 围手术期 视觉质量 多数赞同 

分 类 号：R779.6[医药卫生—眼科]